NPI | 1942742465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 20557) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010957) |
363LF0000X Nurse Practitioner, Family (Licence: SC 20557) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5010957) | |
Enumeration Date | 2016-11-15 |
Last Update Date | 2021-11-01 |